CLIA lab

CLIA 39D2258919: Lebanon Pharmacy

Lebanon, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D2258919 belongs to Lebanon Pharmacy in Lebanon, PA.

Certificate of Waiver, effective April 28, 2026, expires April 27, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 28, 2026
Certificate expiration
April 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 28, 2022
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D2258919
Lab name
Lebanon Pharmacy
Address
990 Isabel Dr, Lebanon, PA 17042
Phone
(717) 775-5108
Fax
(717) 775-3501

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lebanon, PA

Related

Questions

What is the CLIA number for Lebanon Pharmacy in Lebanon?

39D2258919, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lebanon Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2258919 expire?

The CMS file lists April 27, 2028 as the certificate expiration date; the certificate took effect April 28, 2026.

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